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The Journal of Thoracic and Cardiovascular Surgery, Vol 93, 785-789, Copyright © 1987 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
M Yamaguchi, H Tachibana, Y Hosokawa, H Ohashi and M Imai
This paper describes surgical experience in supravalvular aortic stenosis
associated with severe multiple peripheral pulmonary stenoses treated by a
staged approach: initial staged repair of the bilateral pulmonary stenoses
by arterioplasty through a thoracotomy and later definitive intracardiac
repair of supra-valvular aortic stenosis. Our experience in two cases
proved that the peripheral pulmonary arteries could be exposed up to the
segmental branches by dissection from the pulmonary hilum through a lateral
thoracotomy without damaging the lung parenchyma. The stenotic areas could
then be repaired with either a bifurcated or trifurcated pericardial patch.
ARTICLES
Staged repair of supravalvular aortic stenosis associated with severe multiple peripheral pulmonary stenoses: report of extended peripheral pulmonary arterioplasty
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